Registration Form
AP2PS 2012
September 23 - 28, 2012 - Barcelona, Spain
 (One registration allows one participant to assist to all NexTech 2012)
 
Please fill in the form, sign it by hand, and send it via one of the following:
Fax: 1-302-397-2096           E-mail: andrea@vicov.com

Title (Student/Prof/Dr): ____First Name: _______________ Last Name: ______________

Paper number (e.g., #10254) (for authors only: only one paper per form) ______________

Institution: _______________________________________________________________

Street Address: ___________________________________________________________

City: __________________ State: ____________ Zip: ___________ Country: ________

Phone: __________________ Fax: ___________________ Email: __________________

A. Conference Registration Fees
The full registration fees include: access to all the conferences, the welcome cocktail, the coffee breaks, the gala dinner, the digital proceedings (including archiving, publication, and indexing), and the participation to all the scientific events under NexTech 2012.

 	IARIA Fellows or Full Time Students	Academic	Industry		
Registration	565 €	615 €	815 €	
______ €	
Additional late fee *
- after July 9 / 2012, 100 €
- after August 9 / 2012, 150 €
* late payment acceptable for attendance only
* authors must register at latest on July 9	                                                                               

   ______ €	
Extra pages: 105 € / page (over  6 pages) 		
______ €	
Additional Gala Dinner: 95 €							     
	
______ €	

    TOTAL A: __________ €

B. Tutorials 
Note: see final program
 Tutorials are free of charge for all the attendees

C. Hotel 

The conference will take place at:

Novotel Barcelona Sant Joan Despi
http://www.novotel.com/gb/hotel-3289-novotel-barcelona-sant-joan-despi/index.shtml

Another nearby hotel is Hotel Hesperia Sant Just
http://www.hesperia.com/hesperia/en/hotels/spain/barcelona/hesperia-sant-just.html

Any hotel in Barcelona or Barcelona San Joan Despi or Barcelona San Just is convenient. Please arrange your hotel booking at your leisure.

D. Social Event - Tour [September 28, 2012]

One day Barcelona guided visit | Lunch included		160 € x __  persons = _____€
(see the preliminary program for details)
(inside visit: Picasso Museum, Sagrada Familia)
If ‘credit card”:                                	    	  TOTAL (A + D): 	_________ €
If “wire transfer”:				     TOTAL (A + D + 40€):	_________€

Payment of Fees (check one of the methods): 

__ By Credit Card   (preferred method)            (____ Mastercard or ____Visa)          
 
Card number:    _________________________________________________________
CVV:  _________________ (this is the 3 or 4 digit number on the back of the card)
Expiration date:  ___________                                                                   
Holder's Name: ________________________ Holder’s Signature: _________________

Credit Card billing address:
Street address:________________________________________________________
City: _______________________________ State: ___________________________
Zipcode/Postcode _____________________ Country: ________________________
                                                                   
__ By Wire Transfer (please add 40 € for processing the wire transfer)
     Contact andrea@vicov.com for the wire transfer accounts information 

In case of extraordinary situation, as deemed by IARIA, you allow the publisher to act on the authors' behalf with respect to camera ready upload step and the copyright release step.

Date and Author’s Signature: ___________________________________________

Note: While registration fees are quoted in Euro € as a standard currency, fees will be charged in U.S. Dollars $ at the official rate on the date the payment is processed.

Important: Please, note that NO refund on any service mentioned above will be issued after July 9, 2012 as all the services are ordered and paid when the registration is received. No refunds are possible after the reviews are released. In case of an emergency that prevents the original presenter from attending, the registration may be transferred to another presenter.